Keep your eye on this guy...
If you live in NYC, keep your eye on property in or around Union Square, Soho, the West Village, or the Flatiron District. Something revolutionary will begin to take shape. Think the Apple Store, FedEx, Toyota Lean, Eugene Debs, 1984, The Fountainhead, Experience Design, continuous quality improvement, iPhones, video chats on your mobile phone or computer,How to Care for the World’s Poor
A group of intellectuals concluded that the most effective way to provide medical care to the worlds poor is to..."If we train village health workers, and make sure they're compensated," he said, "then the resources intended for the world's poorest--from vaccines, to bed nets, to prenatal care, and to care for chronic diseases like AIDS and tuberculosis--would reach the intended beneficiaries."Thats right,Near & Dear To My Heart
At Graham's request, I'll change subjects for a moment to something near and dear to my heart, Down Syndrome. If you're looking for a good cause to support, try buying a book for the young ones in your life.
When Stephen wrote this book ...
Consumers Holding Down Health Care Inflation
The Curse of Knowledge
Just how well do we physicians communicate with our patients? Are they understanding nearly as much as we think? Are we cursed with knowledge?
(hat tip: Jay Parkinson MD)Death By A Thousand Cuts
Is a mass hospital closure crisis looming?A recent HANYS analysis of hospital financial data found that more than half of the state's hospitals lost money or recorded margins of less than 1% in 2006.(hat tip: More than Medicine)Volume. Volume. Volume.
It's no secret why medical students avoid primary care like the plague...Aetna to End Payment for a Drug in Colonoscopies
Talk about a pain in the rear (bad pun intended)...Unstoppable Market Forces
As long as traditional medical practices produce disgruntled, unsatisfied customers, retail clinics will continue to see explosive growth.Top 12 Trends for Physicians in 2008
Dr. Reece blogs about his predictions for physicians in '08...6. Physician Empowerment - Doctors are re-awakening to the reality they hold the key to effective, efficient, and safe healthcare. They're asserting themselves through legislative efforts to reduce malpractice costs, state medical societies curtailing health plan abuses, social online networking in sites like Sermo, and health care practices offering prompt same-day access and more efficient and friendly ...Retired Doc is Beginning to Believe
The snowball grows as more people begin to believe in direct medical practices...Paying for Arnoldcare
The California Hospital Association is tightening their own noose as they support a 4% hospital tax to pay for Arnoldcare...CHA leadership has apparently convinced itself that the same bureaucrats who crippled California hospitals by underfunding Medi-Cal are going to change their stripes under Arnoldcare. They actually seem to believe that all of the revenue generated by the tax (and federal matching funds as well) will be set ...Courts Overturns Key Part of San Fransisco’s Universal Coverage
Universal health care hits a speed bump in San Fransisco...Judge White ruled that the employer assessment violates the federal ERISA law (Employee Retirement Income Security Act of 1974) which, among other things, prohibits state and local governments from mandating that employers must provide health insurance to their workers. ERISA was the federal law cited by Maryland and New York federal courts ...FAQ: Won’t Retainer Medicine Exacerbate Physician Shortages?
This is a fair question that is commonly asked and, on its face, makes perfect sense: more doctors seeing fewer patients = physician shortage. It is my opinion that the direct medical practices will not only avoid a worsening physician crisis, but drastically increase access to and affordability of health care.
- Retention of older physicians who no longer wish to participate in the hamster ...
90% Reduction in Hospital Admissions
MDVIP is the largest and most organized company practice wide scale retainer medicine today. Their business model is fee for non-covered services, which basically means that the retainer fee is for additional care, not covered by CMS, but Medicare is still billed when appropriate.
One of the common arguments against direct medical practices is the belief that if all doctors converted, then this would greatly ...Retainer Medicine: Ethical or Not?
Point:Some might argue that these "highly ethical physicians" aren't so highly ethical by practicing retainer medicine. One ethical framework would suggest if all physicians just practiced retainer medicine, there would not be nearly enough physicians to go around. In that framework, retainer medicine would be viewed as unethical.
Counterpoint:If retainer physicians are unethical, then what about physicians who quit seeing patients entirely ...Dr. Chris Ewin: Fee-for-Care
Dr. Ewin, the former president of SIMPD discusses different business models for health care.
Feel free to check out his site and see how he has set up his practice...
Simpd: The Society For Innovative Practice Design
SIMPD is an organization committed to changing the face of primary care in our country. They are the leading voice of a wide number of practice models which fall under the umbrella of direct medical practices. They are a growing group of doctors who felt that they could no longer look their patients in the eyes and honestly say they were providing the best possible care with ...Defending Innovative Practice Models
DB asks those knee-jerking nay-sayers to stop and ask themselves why would they object to a win-win model for patients and physicians.
I urge these authors and their ideological colleagues to look beyond the trappings. I urge them to perform a thought experiment. Why are patients increasingly willing to pay? Why are highly ethical physicians opting for this style of practice? If they are ...Insurance = Prevention
Another great rant by Dr. Wes...strong work.So fantastic is insurance at heart attack prevention that the researchers of this important trial never even had to consult a single health record to verify their claims. Not one. From the studies "limitations" section:"Our study relied on self-reported health measures rather than data from medical records. Although our measure of adverse cardiovascular outcomes summarized related items selected for their ...Kevin Pho, MD
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How I approach ovarian cancer screening with patients
Ovarian cancer screening clearly touches a nerve. No one doubts that ovarian cancer is a devastating diagnosis, often found when the disease...
Why more primary care doctors are referring patients to specialists
According to a recent study from the Archives of Internal Medicine, primary care physicians are referring more patients to specialists than ever...
Should Google censor anti-vaccine claims?
One of the reasons there is such a movement against vaccines is the democratization of information, perpetuated by search engines like Google....
Radiologists who cheat on their board exams: Who’s to blame?
In a widely circulated CNN article, many radiologists have been found to cheat on their board exams: "Doctors around the country taking an...
Physician
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Why an anesthesiologist would be needed for organ donation
I've only had to declare death a couple of times. Once in a three-year-old and once in an adult. In each case...
5 ways to avoid a misdiagnosis
Billionaire Teddy Forstmann had been diagnosed with a serious form of brain cancer. There’s a tragic twist to the story: according to...
Benefits of the Medicare Adult Wellness Visit
One of the things I love about family medicine is that I get to care for people of all ages. I almost...
Cancer has a way of teaching us poignant life lessons
I just finished reading George’s recent post on Evelyn Lauder, who recently passed away from ovarian cancer, and am still stirred by...
Patient
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In love there is a life giving force
Here is a toast to the miracle of love. Not to the romantic, chocolate, dance club nightlife type of love. Not warm...
How to get ready for death
No one wants to die. Even people who want to go to heaven don't want to die to get there. And yet...
The long term cost of a pain in the neck
One morning this May, I woke up with a stiff neck. I applied hot and cold therapy all day and took an...
Preparing for your visit with someone in hospice care
Visiting someone who is dying or critically ill is an experience many of us will have in the course of our lives....
Policy
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AMA: Advocating for Medicare, military and fiscal responsibility
A guest column by the American Medical Association, exclusive to KevinMD.com. This week, I’m joining hundreds of physicians and medical students in Washington, DC...
A critical look at value driven health care
Everyone in the world is talking about “value-driven health care.” Or so it might seem if you pick up a medical journal...
Surviving the new landscape of physician reimbursement
CNN recently posted an article titled "Doctors Going Broke." It described several cases of independent physicians who are near bankruptcy although they once...
Doctors lobby Congress to repeal the SGR
One of the things that I like most about my job is engaging with ACP’s physician leadership—the internal medicine doctors who dedicate...
Tech
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There is a patient attached to that implantable defibrillator
As a follow-up to my post on why patients with implantable defibrillators should have access to their device’s data, I am going...
The pitfalls of email communication with patients
A recent article in the Wall Street Journal reviewed the emerging role of email in healthcare, arguing that doctors should more aggressively...
Why adoption of EHRs is a transformational event for physicians
Paul Conslato, MD, director of clinical affairs for Lancaster General Medical Group, recently was quoted in the PAMED Better Health Network eZine...
Why EMR is a dirty word to many doctors
Don’t get me wrong, EMRs (electronic medical records) are inevitable. Over the long-run they are almost certainly good for physicians, patients and...
Social Media
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Using Twitter to deliver health improvement messages
I have decided to spam for public health. Phone calls, text messaging, and even apps have been shown to help improve health...
Addressing comments on your medical practice’s Facebook page
Does your medical practice allow anybody to post links and comments on your Facebook page? The short answer is yes. We do....
The Internet is where patients go for pre-visit consultations
As a physician, technology cannot replace you, but it can make you more efficient and effective. This was the message from Richard...
5 ways doctors can benefit from professional connections
Looking ahead to the next several months, I’ve found myself frequently wondering how many physicians will make this their year to take...
Meds
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